Individual provider Active NPI

Sofia A Wiltens, LPT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1376656652
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1062495 Issued in TX
Practice address
1221 W Ben White Blvd Ste 211a
Austin, TX 78704-7095
Phone
(512) 707-8392
Fax
(512) 707-2841
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1062495 TX Primary

Addresses

Primary practice location

1221 W Ben White Blvd Ste 211a
Austin, TX 78704-7095

Mailing address

1221 W Ben White Blvd Ste 211a
Austin, TX 78704-7095
Phone (512) 707-8392

Other identifiers 1

IdentifierTypeStateIssuer
8T0936OtherTXBCBS

Other names 1

  • Mrs. Sofia Aggelaki-Wiltens Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1062495TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Hills Capital LLC PastSince Aug 1, 2015 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1376656652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD STE 211A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047095",
            "telephone_number": "512-707-8392",
            "fax_number": "512-707-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD STE 211A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047095",
            "telephone_number": "512-707-8392",
            "fax_number": "512-707-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILTENS",
        "first_name": "SOFIA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1062495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T0936",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOFIA",
            "last_name": "AGGELAKI-WILTENS",
            "prefix": "MRS.",
            "credential": "LPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.